Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $31.74 / $31.74	Facility		$31.74	$31.74	$31.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $48.74 / $181.24	Professional		$31.74	$48.74	$181.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $38.36	Facility		$38.36	$38.36	$38.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $38.36 / $38.36	Professional		$28.00	$38.36	$38.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $64.72 / $97.08	Professional		$51.77	$64.72	$97.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $18.52 / $48.63	Facility		$18.52	$18.52	$48.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $38.36 / $73.61	Professional		$28.00	$38.36	$73.61
United Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $28.69 / $43.21	Professional		$26.05	$28.69	$43.21